Air strikes killed at least 23 civilians, including five children, in the rebel-held Eastern Ghouta region on the outskirts of Damascus on Wednesday (7 February), the Syrian Observatory for Human Rights reported.
This latest bombardment came the day after at least 80 people were killed by air strikes in the same region, again according the British-based war monitor.
IBTimes UK shares photos taken in Eastern Ghouta over the last two days. They show streets in the stricken area covered in all-enveloping dust on Monday as one strike after another hit the same neighbourhoods; members of the White Helmets pull survivors from the debris of destroyed homes; blood-soaked children are patched up in makeshift hospitals. The same scenes are repeated again on Tuesday.
"Minute after minute, the number of casualties rises," a rescuer from the White Helmets said in a video from eastern Ghouta posted on the group's Facebook page. "No area at all in Ghouta is safe. ... We don't know what to say."
The air strikes and shelling have overwhelmed rescue workers. The United Nations called for an immediate, month-long cease-fire in order to deliver critical humanitarian aid and medical care to civilians across the country. The UN mission in Damascus warned of "dire consequences" to the humanitarian crises in Syria, identifying seven areas needing urgent relief. The ongoing fighting and deliberate obstructions by forces were preventing aid organisations from reaching civilians, it said.
The Ghouta region, east of the capital Damascus, is home to nearly 400,000 people trapped by the violence and tightening siege.
The punishing campaign by the Syrian government and its ally, Russia, has also battered the northwestern province of Idlib, the largest area under opposition control in Syria. The Idlib offensive has hit hospitals and residential buildings, and has intensified after militants in Idlib shot down a Russian Su-25 fighter jet near the town of Saraqeb over the weekend.
The children's organisation Save the Children said in a statement that the escalation in the opposition-held enclave of Idlib is placing thousands of children in extreme danger. It said more than 30 schools supported by Save the Children and its partners in the area have had to close temporarily due to security fears. Hundreds of families, many of whom have already been displaced and left living in tents that provide no shelter from bombs or shells, have come under increasing fire and have been left with almost nowhere left to turn, it added.